Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE PHYSICIAN SERVICES INC
Other names
Riverside Tidewater Thoracic & Cardiovascular
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE PHYSICIAN SERVICES INC
Authorized official
JAMES LESNICK MD (VICE PRESIDENT)
(757) 594-4006
Entity
Organization
Contact information
Practice address
500 J CLYDE MORRIS BLVD, SUITE 602, NEWPORT NEWS, VA 23601-1929
(757) 534-5511
(757) 534-5515
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
07/24/2006
Last updated
10/12/2011
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